Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PUBLIC HEALTH MANAGEMENT CORPORATION

NPI: 1306285176 · PHILA, PA 19120 · Federally Qualified Health Center (FQHC) · NPI assigned 06/14/2013

$11.32M
Total Medicaid Paid
115,316
Total Claims
99,239
Beneficiaries
73
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKILLIAN, FRANK (DIRECTOR-OPERATIONS)
NPI Enumeration Date06/14/2013

Related Entities

Other providers sharing the same authorized official: KILLIAN, FRANK

ProviderCityStateTotal Paid
PUBLIC HEALTH MANAGEMENT CORPORATION PHILADELPHIA PA $11.76M
PUBLIC HEALTH MANGEMENT CORPORATION PHILADELPHIA PA $9.26M
PUBLIC HEALTH MANAGEMENT CORPORATION PHILA PA $9.19M
PUBLIC HEALTH MANAGEMENT CORPORATION PHILADELPHIA PA $7.32M
PUBLIC HEALTH MANGEMENT CORPORATION PHILADELPHIA PA $1.92M
MERCER-OCEAN PODIATRY TOMS RIVER NJ $64K
PUBLIC HEALTH MANAGEMENT CORPORATION PHILADELPHIA PA $34K
PUBLIC HEALTH MANAGEMENT CORP PHILADELPHIA PA $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,084 $80K
2019 10,000 $904K
2020 24,376 $2.65M
2021 18,124 $2.16M
2022 19,922 $1.91M
2023 21,949 $2.06M
2024 19,861 $1.54M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 33,980 27,757 $11.18M
G9012 Other specified case management service not elsewhere classified 351 330 $90K
0012A 513 502 $18K
0011A 447 434 $12K
0002A 224 198 $6K
0001A 218 185 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,848 9,948 $2K
3074F 11,230 9,661 $2K
3078F 9,828 8,499 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 60 58 $1K
3079F 1,863 1,706 $880.24
3077F 617 561 $760.13
0003A 35 29 $760.00
90460 Immunization administration through 18 years of age via any route, first or only component 1,601 1,517 $651.65
0013A 26 22 $560.00
3080F 305 276 $360.14
T1016 Case management, each 15 minutes 28 28 $212.68
3075F 313 289 $110.09
90461 643 619 $61.31
90686 211 210 $21.52
36415 Collection of venous blood by venipuncture 3,031 2,898 $15.53
81025 222 208 $8.00
91301 498 480 $0.36
4010F 55 50 $0.06
3008F 8,154 7,093 $0.05
3044F 39 31 $0.01
T2022 Case management, per month 613 562 $0.01
80061 Lipid panel 1,512 1,424 $0.01
80053 Comprehensive metabolic panel 1,077 1,021 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,133 1,073 $0.00
90688 368 365 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 855 792 $0.00
86592 502 458 $0.00
92551 13 13 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 533 501 $0.00
85018 281 273 $0.00
36416 908 817 $0.00
82962 825 758 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 129 125 $0.00
84443 Thyroid stimulating hormone (TSH) 198 187 $0.00
90620 25 25 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 188 182 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 476 440 $0.00
90656 16 16 $0.00
99384 14 14 $0.00
99241 13 13 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,099 3,616 $0.00
1160F 3,980 3,137 $0.00
99401 1,167 1,073 $0.00
99173 1,178 1,112 $0.00
92552 1,037 983 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 388 372 $0.00
1159F 3,987 3,145 $0.00
99499 624 562 $0.00
G9920 Screening performed and negative 628 571 $0.00
90734 25 25 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 528 478 $0.00
82948 112 97 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 477 441 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 105 104 $0.00
91300 213 203 $0.00
A4267 Contraceptive supply, condom, male, each 67 63 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 280 258 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 155 150 $0.00
G9919 Screening performed and positive and provision of recommendations 19 19 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 37 27 $0.00
90472 Immunization administration, each additional vaccine (list separately) 12 12 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 35 35 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 78 44 $0.00
90633 13 13 $0.00
81002 13 13 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13 13 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 27 25 $0.00